DOUGLAS LEE PECKHAM DDS
NPI 1619071727
Dentist - General Practice in Benkelman, NE

Q: What is Douglas Peckham's NPI number?

The NPI number for Douglas Peckham is 1619071727. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Q: What is Douglas Peckham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Peckham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2006

718 CHIEF ST, BENKELMAN, NE 69021(308) 423-2024 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Douglas Lee Peckham Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS LEE PECKHAM DDS (NPI 1619071727) is an individual general practice provider in Benkelman, Nebraska, licensed in Nebraska (5963) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619071727

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDOUGLAS LEE PECKHAMCredential: DDS

Location Address718 CHIEF STBenkelman, NE 69021

Mailing AddressPo Box 664Benkelman, NE 69021 · (308) 423-2024

Phone(308) 423-2024

Sole ProprietorNo

Enumeration DateSeptember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619071727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NE · 5963

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

718 CHIEF ST, Benkelman, NE 69021

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Other Identifiers 1

Medicaid47079964513NE

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PECKHAM DENTAL LLC

Dentist (General Practice)

718 CHIEF ST
BENKELMAN, NE 69021

Dundy County (308) 423-2024

BAILEY PECKHAM DDS

Dentist

718 CHIEF ST
BENKELMAN, NE 69021

Dundy County (308) 423-2024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Peckham's NPI number?

The NPI number for Douglas Peckham is 1619071727. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Douglas Peckham located?

Douglas Peckham practices at 718 Chief St, Benkelman, NE 69021. The listed phone number is (308) 423-2024.

What is Douglas Peckham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Douglas Peckham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.